| NPI | 1760636856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD M TAVEL President 843-818-1181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: SC 16626) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2021-08-11 |